K Number
K201124
Device Name
TOPAZ Mobile DR System
Manufacturer
Date Cleared
2020-05-19

(22 days)

Product Code
Regulation Number
892.1720
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
The TOPAZ Mobile DR System, is a mobile X-ray imaging system, for the purpose of acquiring X-ray images of the desired parts of a patient's anatomy. This device is not intended for mammography, bone density, fluoroscopy and angiography applications.
Device Description
The TOPAZ Mobile DR System, (TOPAZ), is a mobile x-ray system and is a modification of the predicate device. There are 2 models for TOPAZ: TOPAZ-32D (32KW) and TOPAZ-40D (40KW). TOPAZ, may be moved quietly and smoothly with a motor drive mechanism. The core part of x-ray source is a tube assembly, motorized x-ray collimator, HV cable assembly and high frequency x-ray generator. A touch screen LCD based x-ray control console provides a user-friendly interface and technique selection. The Collimator supports high accuracy for selected x-ray field size over any SID. Selection of an anatomical study on the imaging software automatically sets up the x-ray generator's pre-programmed exposure technique. The X-ray passing through a patient's body is sent to the detector and then converted into electrical signals. These signals go through the process of amplification and digital data conversion in the signal process on the workstation and saved in a DICOM file for review on the device or on a Picture Archiving & Communication System (PACS) workstation.
More Information

None

No
The summary describes standard digital X-ray imaging and processing features, with no mention of AI or ML.

No
The device is described as an X-ray imaging system for acquiring images, which is diagnostic, not therapeutic.

Yes
The TOPAZ Mobile DR System is an X-ray imaging system that acquires X-ray images, which are then converted into electrical signals, processed, and saved as DICOM files for review. This process is inherently diagnostic, as medical images are used by healthcare professionals to diagnose conditions.

No

The device description clearly outlines hardware components such as an X-ray tube assembly, collimator, HV cable assembly, high frequency X-ray generator, touch screen LCD, and a detector. While it includes image processing software, it is an integral part of a physical X-ray system.

Based on the provided text, this device is not an IVD (In Vitro Diagnostic).

Here's why:

  • Intended Use: The intended use is clearly stated as "acquiring X-ray images of the desired parts of a patient's anatomy." This describes an in-vivo imaging system, not a device used to examine specimens derived from the human body (which is the definition of an IVD).
  • Device Description: The description details an X-ray system, including an X-ray source, detector, and image processing capabilities. This aligns with the components of a medical imaging device used on a patient.
  • Lack of IVD Characteristics: There is no mention of analyzing biological samples (blood, urine, tissue, etc.) or providing diagnostic information based on such analysis. The focus is entirely on generating and processing X-ray images of the patient's body.

Therefore, the TOPAZ Mobile DR System is a medical imaging device, not an In Vitro Diagnostic device.

N/A

Intended Use / Indications for Use

The TOPAZ Mobile DR System, is a mobile X-ray imaging system, for the purpose of acquiring X-ray images of the desired parts of a patient's anatomy.

This device is not intended for mammography, bone density, fluoroscopy and angiography applications.

Product codes

IZL

Device Description

The TOPAZ Mobile DR System, (TOPAZ), is a mobile x-ray system and is a modification of the predicate device. There are 2 models for TOPAZ: TOPAZ-32D (32KW) and TOPAZ-40D (40KW). TOPAZ, may be moved quietly and smoothly with a motor drive mechanism.

The core part of x-ray source is a tube assembly, motorized x-ray collimator, HV cable assembly and high frequency x-ray generator. A touch screen LCD based x-ray control console provides a user-friendly interface and technique selection. The Collimator supports high accuracy for selected x-ray field size over any SID. Selection of an anatomical study on the imaging software automatically sets up the x-ray generator's pre-programmed exposure technique.

The X-ray passing through a patient's body is sent to the detector and then converted into electrical signals. These signals go through the process of amplification and digital data conversion in the signal process on the workstation and saved in a DICOM file for review on the device or on a Picture Archiving & Communication System (PACS) workstation. The digital detector type used in the predicate TOPAZ is "VARIAN PacScan4336W" or "VARIAN PacScan4336W V4 which was cleared as part of the Nexus DR™ Digital X-ray Imaging System (with PaxScan 4336Wv4). K161459. The modified device can use five additional digital detectors which also have been previously cleared by 510(k): XRpad2 3025 HWC -K161942, XRpad2 4336 HWC - K161966, XRpad2 4343 HWC - K181526, Mano4343W -K183713, and Mano4336W - K182551.

The TOPAZ Workstation Image Management features and functions are as follows in both the predicate and modified device:

  • . ROI: Default 13 ROI support
  • MARK: Unlimited support (User preset support)
  • . Horizontal Flip
  • Vertical Flip .
  • Rotate Clockwise (CW)
  • Rotate Counter Clockwise (CCW)
  • . Inverse (Black or White)
  • . Text Annotation
  • Caliper / Ruler: Distance tool
  • . Angle: Angle measurement tool
  • . Zoom: Image zoom in/out
  • . Maqnify: Image magnify glass window
  • . Pan: Image panning

Mentions image processing

Yes

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

X-ray

Anatomical Site

desired parts of a patient's anatomy

Indicated Patient Age Range

Not Found

Intended User / Care Setting

Not Found

Description of the training set, sample size, data source, and annotation protocol

Not Found

Description of the test set, sample size, data source, and annotation protocol

Not Found

Summary of Performance Studies (study type, sample size, AUC, MRMC, standalone performance, key results)

Nonclinical Testing:

The complete system has been assessed and tested at the factory and by Standards testing facilities. The TOPAZ Mobile DR System has passed all predetermined testing criteria. The Validation Test Plan was designed to evaluate all input functions, output functions, and actions performed by TOPAZ, and followed the process documented in the System Validation Test Plan.

Nonclinical testing results are provided in the 510(k). Validation testing indicated that as required by the risk analysis, designated individuals performed all verification and validation activities and that the results demonstrated that the predetermined acceptance criteria were met.

The following Standards were used to test the system and TOPAZ Mobile DR System, has met all the requirements listed in the Standards except for inapplicable requirements (which are listed in the various test reports):

  • IEC 60601-2-54 Ed. 1.0:2009, Medical electrical equipment Part 2-54: Particular requirements o for the basic safety and essential performance of X-ray equipment for radiography and radioscopy (including Technical Corrigendum 1: 2010 and Technical Corrigendum 2:2011) FDA Recognized Standard #12-296.
  • ANSI AAMI ES60601-1:2005/(R)2012 and A1:2012, C1:2009/(R)2012 and A2:2010/(R)2012 O (Consolidated Text) Medical electrical equipment - Part 1: General requirements for basic safety and essential performance (IEC 60601-1:2005, MOD). FDA Recognized Standard #19-4.
  • o IEC 60601-1-6 Edition 3.1 2013-10, Medical electrical equipment - Part 1-6: General requirements for basic safety and essential performance - Collateral standard: Usability. FDA Recognized Standard #5-89.
  • IEC 60601-1-3 Edition 2.1 2013-04, Medical electrical equipment Part 1-3: General o requirements for basic safety and essential performance - Collateral Standard: Radiation protection in diagnostic X-ray equipment. FDA Recognized Standard #12-269.
  • IEC 60601-2-28 Edition 2.0 2010-03. Medical electrical equipment Part 2-28: Particular O requirements for the basic safety and essential performance of X-ray tube assemblies for medical diagnosis. Recognized Standard #12-204.
  • ANSI AAMI IEC 62304:2006. Medical device software Software life cvcle processes. FDA o Recognized Standard #13-32.
  • IEC 60601-1-2 Edition 4.0 2014-02. Medical electrical equipment Part 1-2: General O requirements for basic safety and essential performance - Collateral Standard: Electromagnetic disturbances Requirements and tests. FDA Recognized Standard #19-8.
  • o NEMA PS 3.1 - 3.20 (2016). Digital Imaging and Communications in Medicine (DICOM) Set DICOM Standard. FDA Recognized Standard #12-300.
  • JPEG Standard IEC/ISO10918-1 First edition 1994-02-15, Information technology Digital O compression and coding of continuous-tone still images: Requirements and guidelines [Including: Technical Corrigendum 1 (2005)]. FDA Recognized Standard #12-261.
  • IEC 62494-1 Edition 1.0 (2008-08). Medical electrical equipment Exposure index of digital Xo ray imaging systems - Part 1: Definitions and requirements for general radiography. FDA Recognized Standard #12-215.
  • ANSI AAMI ISO 14971:2007/(R)2010 (Corrected 4 October 2007), Medical devices o Applications of risk management to medical devices. FDA Recognized Standard #05-40.
  • ISO 15223-1 Third Edition 2016-11-01, Medical devices Symbols to be used with medical O device labels, labelling, and information to be supplied - Part 1: General requirements. FDA Recognized Standard #05-117.

Conclusion: 21 CFR 807 92(b)(1)

The 510(k) Pre-Market Notification for the TOPAZ Mobile DR System, contains adequate information, data, and nonclinical test results to enable FDA - CDRH to determine substantial equivalence to the predicate device.

The subject device will be manufactured in accordance with the voluntary standards listed in the voluntary standard survey. The new device and predicate devices are substantially equivalent in the areas of technical characteristics, general function, application, and intended use does not raise any new potential safety risks and is equivalent in performance to existing legally marketed devices.

Nonclinical tests demonstrate that the device is as safe, as effective, and performs as well as the predicate device.

Key Metrics (Sensitivity, Specificity, PPV, NPV, etc.)

Not Found

Predicate Device(s)

K183292

Reference Device(s)

K161459, K161942, K161966, K181526, K183713, K182551

Predetermined Change Control Plan (PCCP) - All Relevant Information

Not Found

§ 892.1720 Mobile x-ray system.

(a)
Identification. A mobile x-ray system is a transportable device system intended to be used to generate and control x-ray for diagnostic procedures. This generic type of device may include signal analysis and display equipment, patient and equipment supports, component parts, and accessories.(b)
Classification. Class II.

0

May 19, 2020

Image /page/0/Picture/1 description: The image contains the logo of the U.S. Food and Drug Administration (FDA). On the left is the Department of Health & Human Services logo. To the right of that is the FDA logo, which is a blue square with the letters "FDA" in white. To the right of the blue square is the text "U.S. FOOD & DRUG ADMINISTRATION" in blue.

DRGEM Corporation % Mr. Carl Alletto Consultant OTech, Inc. 8317 Belew Drive MCKINNEY TX 75071

Re: K201124

Trade/Device Name: TOPAZ Mobile DR System Regulation Number: 21 CFR 892.1720 Regulation Name: Mobile x-ray system Regulatory Class: Class II Product Code: IZL Dated: April 24, 2020 Received: April 27, 2020

Dear Mr. Alletto:

We have reviewed your Section 510(k) premarket notification of intent to market the device referenced above and have determined the device is substantially equivalent (for the indications for use stated in the enclosure) to legally marketed predicate devices marketed in interstate commerce prior to May 28, 1976, the enactment date of the Medical Device Amendments, or to devices that have been reclassified in accordance with the provisions of the Federal Food, Drug, and Cosmetic Act (Act) that do not require approval of a premarket approval application (PMA). You may, therefore, market the device, subject to the general controls provisions of the Act. Although this letter refers to your product as a device, please be aware that some cleared products may instead be combination products. The 510(k) Premarket Notification Database located at https://www.accessdata.fda.gov/scripts/cdrh/cfdocs/cfpmn/pmn.cfm identifies combination product submissions. The general controls provisions of the Act include requirements for annual registration, listing of devices, good manufacturing practice, labeling, and prohibitions against misbranding and adulteration. Please note: CDRH does not evaluate information related to contract liability warranties. We remind you, however, that device labeling must be truthful and not misleading.

If your device is classified (see above) into either class II (Special Controls) or class III (PMA), it may be subject to additional controls. Existing major regulations affecting your device can be found in the Code of Federal Regulations, Title 21, Parts 800 to 898. In addition, FDA may publish further announcements concerning your device in the Federal Register.

Please be advised that FDA's issuance of a substantial equivalence determination does not mean that FDA has made a determination that your device complies with other requirements of the Act or any Federal statutes and regulations administered by other Federal agencies. You must comply with all the Act's requirements, including, but not limited to: registration and listing (21 CFR Part 807); labeling (21 CFR Part 801); medical device reporting of medical device-related adverse events) (21 CFR 803) for

1

devices or postmarketing safety reporting (21 CFR 4, Subpart B) for combination products (see https://www.fda.gov/combination-products/guidance-regulatory-information/postmarketing-safety-reportingcombination-products); good manufacturing practice requirements as set forth in the quality systems (QS) regulation (21 CFR Part 820) for devices or current good manufacturing practices (21 CFR 4, Subpart A) for combination products; and, if applicable, the electronic product radiation control provisions (Sections 531-542 of the Act); 21 CFR 1000-1050.

Also, please note the regulation entitled, "Misbranding by reference to premarket notification" (21 CFR Part 807.97). For questions regarding the reporting of adverse events under the MDR regulation (21 CFR Part 803), please go to https://www.fda.gov/medical-device-safety/medical-device-reportingmdr-how-report-medical-device-problems.

For comprehensive regulatory information about mediation-emitting products, including information about labeling regulations, please see Device Advice (https://www.fda.gov/medicaldevices/device-advice-comprehensive-regulatory-assistance) and CDRH Learn (https://www.fda.gov/training-and-continuing-education/cdrh-learn). Additionally, you may contact the Division of Industry and Consumer Education (DICE) to ask a question about a specific regulatory topic. See the DICE website (https://www.fda.gov/medical-device-advice-comprehensive-regulatoryassistance/contact-us-division-industry-and-consumer-education-dice) for more information or contact DICE by email (DICE@fda.hhs.gov) or phone (1-800-638-2041 or 301-796-7100).

Sincerely.

For

Thalia T. Mills, Ph.D. Director Division of Radiological Health OHT7: Office of In Vitro Diagnostics and Radiological Health Office of Product Evaluation and Quality Center for Devices and Radiological Health

Enclosure

2

Indications for Use

510(k) Number (if known) K201124

Device Name TOPAZ Mobile DR System

Indications for Use (Describe)

The TOPAZ Mobile DR System, is a mobile X-ray imaging system, for the purpose of acquiring X-ray images of the desired parts of a patient's anatomy.

This device is not intended for mammography, bone density, fluoroscopy and angiography applications.

Type of Use (Select one or both, as applicable)
Prescription Use (Part 21 CFR 801 Subpart D)Over-The-Counter Use (21 CFR 801 Subpart C)

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510(k) Summary of Safety K201124

This 510(k) Summary of safety and effectiveness information is being submitted in accordance with the requirements of SMDA 1990.

Date Prepared: May 14, 2020

I. SUBMITTER

DRGEM Corporation 7F E-B/D Gwangmyeong Techno-Park 60, Haan-ro, Gwangmyeong-si, Gyeonggi-do, 14322 Korea Email: radcheck@drgem.co.kr

Contact Person: Mr. Ki-Nam YANG, Director | QM representative

II. DEVICE

Name of Device:TOPAZ Mobile DR System
Common or Usual Name:Mobile x-ray system
Regulation Name:Mobile x-ray system
Regulation:21 CFR 892.1720
Product Code:IZL
Regulatory Class:II

III. PREDICATE DEVICE

The TOPAZ Mobile DR System device is substantially equivalent to:

Device Classification NameMobile X-Ray System
510(K) NumberK183292
Device NameTopaz Mobile DR System
ApplicantDRGEM Corporation
7F E-B/D Gwangmyeong Techno-Park 60, Haan-Ro
Gwangmyeong-Si, KR 14322
Regulation Number892.1720
Classification Product CodeIZL
Decision Date05/15/2019
Regulation Medical SpecialtyRadiology

IV. DEVICE DESCRIPTION

The TOPAZ Mobile DR System, (TOPAZ), is a mobile x-ray system and is a modification of the predicate device. There are 2 models for TOPAZ: TOPAZ-32D (32KW) and TOPAZ-40D (40KW). TOPAZ, may be moved quietly and smoothly with a motor drive mechanism.

The core part of x-ray source is a tube assembly, motorized x-ray collimator, HV cable assembly and high frequency x-ray generator. A touch screen LCD based x-ray control console provides a user-friendly interface and technique selection. The Collimator supports high accuracy for selected x-ray field size over any SID. Selection of an anatomical study on the imaging software automatically sets up the x-ray generator's pre-programmed exposure technique.

The X-ray passing through a patient's body is sent to the detector and then converted into electrical signals. These signals go through the process of amplification and digital data conversion in the signal process on the workstation and saved in a DICOM file for review on the device or on a Picture Archiving & Communication System (PACS) workstation. The digital detector type used in the predicate TOPAZ is "VARIAN PacScan4336W" or "VARIAN

4

510(k) Summary of Safety

PacScan4336W V4 which was cleared as part of the Nexus DR™ Digital X-ray Imaging System (with PaxScan 4336Wv4). K161459. The modified device can use five additional digital detectors which also have been previously cleared by 510(k): XRpad2 3025 HWC -K161942, XRpad2 4336 HWC - K161966, XRpad2 4343 HWC - K181526, Mano4343W -K183713, and Mano4336W - K182551.

The TOPAZ Workstation Image Management features and functions are as follows in both the predicate and modified device:

  • . ROI: Default 13 ROI support
  • MARK: Unlimited support (User preset support) ●
  • . Horizontal Flip
  • Vertical Flip .
  • Rotate Clockwise (CW) ●
  • Rotate Counter Clockwise (CCW) ●
  • . Inverse (Black or White)
  • . Text Annotation
  • Caliper / Ruler: Distance tool ●
  • . Angle: Angle measurement tool
  • . Zoom: Image zoom in/out
  • . Maqnify: Image magnify glass window
  • . Pan: Image panning

V. INDICATIONS FOR USE

The TOPAZ Mobile DR System, is a mobile X-ray imaging system, for the purpose of acquiring X-ray images of the desired parts of a patient's anatomy. This device is not intended for mammography, bone density, fluoroscopy and angiography applications.

VI. COMPARISON OF TECHNOLOGICAL CHARACTERISTICS WITH THE PREDICATE DEVICES

TOPAZ Mobile DR System is a mobile x-ray system.

Summary of differences:

The difference between the predicate device and the modified device is the addition of five previously cleared x-ray detectors to the TOPAZ system. The added detectors are:

  • . XRpad2 3025 HWC - 510(k) number K161942
  • XRpad2 4336 HWC 510(k) number K161966 .
  • . XRpad2 4343 HWC – 510(k) number K181526
  • Mano4343W – 510(k) number K183713
  • . Mano4336W – 510(k) number K182551

VII. PERFORMANCE DATA

Nonclinical Testing:

The complete system has been assessed and tested at the factory and by Standards testing facilities. The TOPAZ Mobile DR System has passed all predetermined testing criteria. The Validation Test Plan was designed to evaluate all input functions, output functions, and actions performed by TOPAZ, and followed the process documented in the System Validation Test Plan.

Nonclinical testing results are provided in the 510(k). Validation testing indicated that as required by the risk analysis, designated individuals performed all verification and validation activities and that the results demonstrated that the predetermined acceptance criteria were met.

The following Standards were used to test the system and TOPAZ Mobile DR System, has met all the requirements listed in the Standards except for inapplicable requirements (which are listed in the various test reports):

5

  • IEC 60601-2-54 Ed. 1.0:2009, Medical electrical equipment Part 2-54: Particular requirements o for the basic safety and essential performance of X-ray equipment for radiography and radioscopy (including Technical Corrigendum 1: 2010 and Technical Corrigendum 2:2011) FDA Recognized Standard #12-296.
  • ANSI AAMI ES60601-1:2005/(R)2012 and A1:2012, C1:2009/(R)2012 and A2:2010/(R)2012 O (Consolidated Text) Medical electrical equipment - Part 1: General requirements for basic safety and essential performance (IEC 60601-1:2005, MOD). FDA Recognized Standard #19-4.
  • o IEC 60601-1-6 Edition 3.1 2013-10, Medical electrical equipment - Part 1-6: General requirements for basic safety and essential performance - Collateral standard: Usability. FDA Recognized Standard #5-89.
  • IEC 60601-1-3 Edition 2.1 2013-04, Medical electrical equipment Part 1-3: General o requirements for basic safety and essential performance - Collateral Standard: Radiation protection in diagnostic X-ray equipment. FDA Recognized Standard #12-269.
  • IEC 60601-2-28 Edition 2.0 2010-03. Medical electrical equipment Part 2-28: Particular O requirements for the basic safety and essential performance of X-ray tube assemblies for medical diagnosis. Recognized Standard #12-204.
  • ANSI AAMI IEC 62304:2006. Medical device software Software life cvcle processes. FDA o Recognized Standard #13-32.
  • IEC 60601-1-2 Edition 4.0 2014-02. Medical electrical equipment Part 1-2: General O requirements for basic safety and essential performance - Collateral Standard: Electromagnetic disturbances Requirements and tests. FDA Recognized Standard #19-8.
  • o NEMA PS 3.1 - 3.20 (2016). Digital Imaging and Communications in Medicine (DICOM) Set DICOM Standard. FDA Recognized Standard #12-300.
  • JPEG Standard IEC/ISO10918-1 First edition 1994-02-15, Information technology Digital O compression and coding of continuous-tone still images: Requirements and guidelines [Including: Technical Corrigendum 1 (2005)]. FDA Recognized Standard #12-261.
  • IEC 62494-1 Edition 1.0 (2008-08). Medical electrical equipment Exposure index of digital Xo ray imaging systems - Part 1: Definitions and requirements for general radiography. FDA Recognized Standard #12-215.
  • ANSI AAMI ISO 14971:2007/(R)2010 (Corrected 4 October 2007), Medical devices o Applications of risk management to medical devices. FDA Recognized Standard #05-40.
  • ISO 15223-1 Third Edition 2016-11-01, Medical devices Symbols to be used with medical O device labels, labelling, and information to be supplied - Part 1: General requirements. FDA Recognized Standard #05-117.

Conclusion: 21 CFR 807 92(b)(1)

The 510(k) Pre-Market Notification for the TOPAZ Mobile DR System, contains adequate information, data, and nonclinical test results to enable FDA - CDRH to determine substantial equivalence to the predicate device.

The subject device will be manufactured in accordance with the voluntary standards listed in the voluntary standard survey. The new device and predicate devices are substantially equivalent in the areas of technical characteristics, general function, application, and intended use does not raise any new potential safety risks and is equivalent in performance to existing legally marketed devices.

Nonclinical tests demonstrate that the device is as safe, as effective, and performs as well as the predicate device.

Therefore, the TOPAZ Mobile DR System, is substantially equivalent to the predicate device.